NPIMap

Organization Active NPI

Migrant Health Center Western Region,Inc

  • Federally Qualified Health Center (FQHC)
  • Mayaguez, PR
National Provider Identifier
1609969286
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MIGRANT HEALTH CENTER WESTERN REGION,INC
Practice address
Calle Ramon Emeterio Betances 497
Cond BLDG
Mayaguez, PR 00680-1714
Phone
(787) 805-2900
Fax
(787) 265-4245
NPI assigned
Oct 2, 2006
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tania Rodriguez Morales
Title
Directora Ejecutiva
Phone
(787) 831-5800

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Developmental Disabilities Clinic/Center 261QD1600X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Migrant Health Clinic/Center 261QM1000X 06148 PR
Multi-Specialty Clinic/Center 261QM1300X
Radiology Clinic/Center 261QR0200X
Mammography Clinic/Center 261QR0206X
Mobile Mammography Clinic/Center 261QR0207X
Clinical Medical Laboratory 291U00000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

Calle Ramon Emeterio Betances 497
Cond BLDG
Mayaguez, PR 00680-1714

Mailing address

PO Box 190
Mayaguez, PR 00681-0190
Phone (787) 805-2920

Other names 1

  • MIGRANT HEALTH CENTER WESTERN REGION,INC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040617001321 PR Part B Supplier - Clinic/Group Practice 4183520810 Receives reassigned benefits from 129 practitioners
4 other NPIs on this enrollment
Practice locations: Las Marias, PR; Yauco, PR; San Sebastian, PR; San German, PR; Sabana Grande, PR; Mayaguez, PR; Maricao, PR; Ensenada, PR…
O20121218000588 PR Part A Provider - Federally Qualified Health Center (FQHC) 4183520810 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lajas, PR
O20121218000599 PR Part A Provider - Federally Qualified Health Center (FQHC) 4183520810 Practice locations: Mayaguez, PR
O20250228001217 PR Part B Supplier - Pharmacy 4183520810 8 other NPIs on this enrollment
Practice locations: Cabo Rojo, PR; Ensenada, PR; Las Marias, PR; Maricao, PR; Mayaguez, PR; San Sebastian, PR; Yauco, PR
O20250228001590 PR Part B Supplier - Pharmacy 4183520810 Practice locations: Sabana Grande, PR

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1609969286. Details of each certification follow.

Federally qualified health center certification: CCN 401815

Legal name
MIGRANT HEALTH CENTER WESTERN REGION,INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 17, 2012
Last certification
Jul 17, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 24, 1986 in PR
Enrollment address
Carretera 101 KM 7.1 Bo Palmarejo
Lajas, PR 6670190
Related CCNs
401804

Federally qualified health center certification: CCN 401812

Legal name
MIGRANT HEALTH CENTER WESTERN REGION,INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 17, 2012
Last certification
Jul 17, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 24, 1986 in PR
Enrollment address
Calle Ramon Emeterio Betances 392 Sur
Mayaguez, PR 6800190
Related CCNs
401804

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Locations

392 Calle Rmn Btnces S
Mayaguez, PR 00680
Phone (787) 800-5290

497 Calle Rmn Btnces S
Mayaguez, PR 00680

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Enid Ortiz Martell Individual W-2 Managing EmployeeSupervisor Contratos Jan 1, 2022
W-2 Managing EmployeeSupervisor de Contratos Jan 1, 2022
Nestor Bracero Ledesma Individual Contracted Managing EmployeeCeo Assistant Jan 1, 2022
Operational/Managerial ControlCeo Assistant Jan 1, 2022
Tania Rodriguez Individual Corporate DirectorCeo Jan 1, 2022 80%

Practitioners & affiliated clinicians

Practitioners 139

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 139

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1609969286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810190",
            "telephone_number": "787-805-2920",
            "fax_number": "787-834-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE RAMON EMETERIO BETANCES 497",
            "address_2": "COND BLDG",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801714",
            "telephone_number": "787-805-2900",
            "fax_number": "787-265-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGRANT HEALTH CENTER WESTERN REGION,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA",
        "authorized_official_telephone_number": "787-831-5800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "PR",
            "license": "06148",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIGRANT HEALTH CENTER WESTERN REGION,INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MIGRANT HEALTH CENTER WESTERN REGION,INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.